Provider Demographics
NPI:1801860077
Name:PUROHIT, AVINASH G (MD)
Entity Type:Individual
Prefix:DR
First Name:AVINASH
Middle Name:G
Last Name:PUROHIT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1350 EDGMONT AVE
Mailing Address - Street 2:STE 1500
Mailing Address - City:CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19013-3962
Mailing Address - Country:US
Mailing Address - Phone:610-619-8281
Mailing Address - Fax:610-619-8289
Practice Address - Street 1:232 W 25TH ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16544-9453
Practice Address - Country:US
Practice Address - Phone:144-525-8538
Practice Address - Fax:814-452-5583
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD067407L2080N0001X
ARE-108022080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOH44515Medicare UPIN
NJ095101UWHMedicare PIN